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82 Cards in this Set
- Front
- Back
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Which of the following would the nurse recommend if the mother was looking to provide more protein to her infant?
a) cows milk b) soy milk c) electrolyte milk replacement d) cow formula |
a) cows milk
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What is the extrusion reflex?
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When the infant pushes food instinctively out of their mouth.
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Which of the following is a developmental cue that the baby is ready for the introduction of solid food?
a) baby puts things in its mouth b) baby requires feeding every 2-3 hours c) baby sits well with support d) baby has a well developed extrusion reflex |
c) baby sits well with support
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Which of the following do you teach the mom, is appropriate for the mouth care of an 18 month old?
a) wiping the gums with a damp wash cloth b) rinsing their mouth with diluted mouth wash c) gentle brushing with a soft toothbrush and toothpaste d) swishing with commercial saline or sterile water |
a) wiping the gums with a damp wash cloth
*note that toothpaste is contraindicated until 2 years of age |
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The clinic nurse teaches new parents that the most normal time for children to ask about "where babies come from" is approximately:
a) 2-3 years of age b) 3-5 years of age c) 5-7 years of age d) 7-9 years of age |
b) 3-5 years of age
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The pediatric clinic nurse correctly identifies the most appropriate milk to introduce to the child as 1 year of age as:
a) whole milk b) 1% milk c) 2% milk d) skim milk |
a) whole milk
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Julie, a mother of a 9-month old infant, asks about appropriate finger foods for her baby. The clinic nurse cold suggest: CATA
a) small pieces of ripe banana b) teething crackers c) cooked spiral pasta c) bite-size orange section |
a) small pieces of ripe banana
b) teething crackers c) cooked spiral pasta |
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____ stimulates the release of FSH and LH from the anterior pituitary.
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Gonadotropin-releasing hormone
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What is adrenarche and thelarche?
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Adrenarche is the increase in axillary and public hair and thelarche is breast budding.
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During what type of body change does thelarche and adrenarche occur?
a) growth spurt b) secondary c) primary |
b) secondary
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What type of body change is menarche?
a) growth spurt b) secondary c) primary |
c) primary
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The menstrual phase occurs during days ___ to ___.
a) 1-6 b) 7-14 c) 15-26 d) 27-28 |
a) 1-6
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The secretory phase is the time of ovulation which occurs during days:
a) 1-6 b) 7-14 c) 15-26 d) 27-28 |
c) 15-26
*Think secretory, like sweet 16 |
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The ischemic phase is from the end of the secretory phase to the onset of menstruation. This occurs during day:
a) 1-6 b) 7-14 c) 15-26 d) 27-28 |
d) 27-28
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The proliferative phase is the end of menses through ovulation or days:
a) 1-6 b) 7-14 c) 15-26 d) 27-28 |
b) 7-14
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Describe the cervical mucus when the woman is ready to conceive.
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It is thin, watery, and stretchable
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What does ferning have to do with conceiving?
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When the cervical mucus is placed on a slide and allowed to dry. It displays a ferning pattern, the woman is ready to conceive.
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Which of the following medications may be prescribed to help relieve hot flashes?
a) SSRI b) oxytocin c) narcotic pain killers d) atypical antipsychotics |
a) SSRIs
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The perinatal nurse describes to the prenatal class attendees that an incision for a Cesarean birth is normally made in the uterine segment known as the:
a) isthmus b) cervix c) apex d) corpus |
a) isthmus
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Which of the following women is contraindicated in the use of a diaphragm? A woman with
a) frequent UTIs b) incontinence c) over 30 years old d) allergy to lamb skin |
a) frequent UTIs because the pressure of the diaphragm against the urethra increases the risk of urinary tract infections.
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When using the cervical cap:
a) apply spermicide to the outside of the cap b) have a supply of emergency contraception pills on hand c) insert the cap so that the dome is facing the out, toward the vaginal orifice d) following use, replace the cap in an alcohol filled storage devise |
b) have a supply of emergency contraception pills on hand since the cervical cap is associated with a high failure rate
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With typical use, male condoms are about ___% effective in preventing pregnancy.
a) 100 b) 90 c) 85 d) 75 |
c) 85% effective
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How long must the woman wait before engaging in sex after she applies a contraceptive film or suppository?
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15 minutes
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With oral estrogen contraceptives, ___ is prevented from being released from the anterior pituitary.
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FSH
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With oral combined estrogen/progestin contraceptive pills, a surge in ___ is prevented, which is required for ovulation.
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LH
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How do progestin-only contraceptives work?
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They thicken the cervical mucus which provides an unfavorable environment for sperm penetration. (Sounds sexy!)
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When providing teaching to the adolescent regarding oral contraceptive pills, how long do you tell them they have to wait before it is effective against pregnancy?
a) one week b) two weeks c) one month d) three months |
a) one week
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What birth control pill is recommended for women who are breast feeding?
a) estrogen only mini pill b) condoms only c) progestin only mini pill d) combined estrogen/progestin mini pill |
c) progestin only mini pills
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Plan B contains two ____ only tablets.
a) HcG b) estrogen c) progestin d) LH |
c) progestin
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What can be used within 5 days of unprotected sex to prevent pregnancy?
a) progestin injection b) depo-vera c) copper IUD d) emergency contraceptive pill |
c) copper IUD
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What do you recommend to the patient starting on Depo-Provera?
a) increase their calorie intake to 2000 cal/day b) increase weight bearing exercises c) reduce calcium intake to <1000 mg/day d) limit sodium intake |
b) increase weight bearing exercise to enhance bone density maintenance
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What is laminaria and what is it used for?
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It is dried seaweed that swells as it absorbs moisture. It is inserted into the cervix to mechanically dilate it prior to an abortion.
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A medical abortion can be performed for up to ___ days of gestation.
a) 20 b) 38 c) 42 d) 63 |
d) 63
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The clinic nurse schedules Tina for her initial dose of Depo-Prevera within:
a) 24 hours of menstruation b) 48 hours of menstruation c) 3-4 days of menstruation d) 5 days of menstruation |
d) 5 days of menstruation
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When assisting a woman who is choosing a method of contraception, it is important for the clinic nurse to: CATA
a) assess the woman's knowledge of options b) assess her motivation for different options c) determine her level of commitment d) ask about methods she has used in the past |
All of the above!
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All normal somatic (body) cells contain ___ chromosomes that are arranged as ___ pairs.
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46 chromosomes arranged as 23 pairs.
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The X chromosome is the (male/female) and the Y chromosome is the (male/female).
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The X is the female, and the Y is the male.
*Remember Y are boys so dumb? |
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Turner syndrome is predominant in males or females?
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females
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Turner syndrome is characterized by:
a) 45X b) 45Y c) 46X d) XXY |
a) 45X: I.E. They are missing an X.
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What is Klinefelter syndrome characterized by(genetically, and S&S).
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Trisomy XXY, and it is characterized by poorly developed male secondary sexual characteristics, small testes, and infertility. Intelligence may also be impaired as well.
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Cocaine and crack use is associated with:
a) fetal insurfactant b) abruptio placentae c) placenta previa d) all of the above |
b) abruptio placentae
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How does in vitro fertilization work?
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A fertilized embryo is injected into the woman's cervix
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When describing fetal growth and development, the perinatal nurse correctly identifies the gestational week that the heart begins to beat as the:
a) second b) third c) fourth d) sixth |
b) third
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During preconception counseling, the clinic nurse explains that the time period when the fetus is most vulnerable to the effects of teratogens is from:
a) 5-10 weeks b) 2-8 weeks c) 4-12 weeks d) 6-15 weeks |
b) 2-8 weeks
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The perinatal nurse provides information about fetal growth and development to patients in a prenatal class. The nurse explains that fetal urine production begins at:
a) 6-8 weeks b) 9-12 weeks c) 12-16 weeks d) 15-18 weeks |
b) 9-12 weeks
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Are amoxicillin and ampicillin safe to use during pregnancy?
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Yes
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Are sulfonamides safe to use in the 3rd trimester?
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No, because they interfere with protein binding of bilirubin
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What symptom is characteristic of acute pyelonephritis?
a) dysuria b) incomplete bladder emptying c) flank pain d) urinary frequency |
c) flank pain
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During pregnancy how is the ph of the urine and vagina changed?
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It becomes more alkaline which sets the stage for infection.
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How is the amount of glucose in vaginal secretions altered during pregnancy?
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The amount of glucose increases therefore setting the stage for UTIs.
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What is the most prevalent sexually transmitted infection in the United States?
a) ophthalmia neonatorum b) syphilis c) HPV d) chlamydia trachomatis |
d) chlamydia trachomatis
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Can a woman have chlamydia and by asymptomatic?
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Yes!
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What symptoms might a woman complain of if she is infected with chlamydia trachomatis?
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discharge, dysuria, and on occasion abnormal vaginal bleeding
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What might the cervix of the woman with chlamydia be like?
a) it easily bleeds b) mucopurulent and inflamed c) greenish tinged and foul smelling d) ecchymotic and inflamed |
b) mucopurulent and inflamed
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What medications are used to treat chlamydia during pregnancy?
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Oral anti-infectives such as erythromycin or penicillin based agents
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What would you expected to see in the infant infected with chlamydia?
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Conjunctivitis and pneumonia resulting from the exposure to the pathogen during birth.
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What would the cervix of a patient with neisseria gonorrhea look like?
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It easily bleeds and is inflamed.
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What medications are used to treat neisseria gonorrhoeae?
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cefixime (Suprax) or ceftriaxone (Rocephin)
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Infants born to untreated mother who have gonorrhea are at risk for what?
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Eye inflammation that can result in permanent blindness.
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A pregnant woman infected with TB is taking INH, ethambutol and rifampin. Can she breastfeed her infant when it is born?
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Yes, TB meds do not cross into the breast milk.
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What are some signs and symptoms of SLE-associated nephritis?
a) itching and yellow tinted skin b) edema and hypertension c) urinary frequency and urgency d) bladder distention and pain |
b) edema and hypertension
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What complications are possible in the newborn of a mother with SLE?
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Congenital heart block or CHF.
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Why is congenital heart block or CHF a possible complication of a mother with SLE?
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Because maternal antibodies may cross the placenta and attack the fetal cardiac tissue.
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What medications is the pregnant woman with SLE treated with?
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Corticosteroids, NSAIDS, AZA, and antimalarial agents.
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What is important in the monitoring the pregnant patient with sickle cell disease?
a) monitor blood volume b) monitoring for bleeding c) early detection of infection d) avoiding oxygen administration |
c) early detection of infection and subsequent treatment: the respiratory and urinary tract are the most common sites of infections
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The pregnant woman who is Rh- needs a RhoGAM shot at __ weeks and within 72 hours of giving birth.
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28
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What is the purpose of giving the woman an additional shot of RhoGAM after giving birth?
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To prevent antibodies from being formed against the Rh+ blood type and possible reacting with a future fetus should it be Rh+.
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A change in the ___ of amniotic fluid indicates that sensitization has occurred and antibodies are being formed against the fetal blood.
a) glucose content b) amount of amniotic fluid c) optical density d) protein content |
c) optical density
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An elevated optical density means that ____ is being destroyed.
a) RBC b) the fetus c) amniotic fluid d) WBC |
a) RBC
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Why does only one in five women with cystic fibrosis conceive?
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Because of the extremely thick cervical mucus, the sperm have a difficult time working their way through it.
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As a result of altered hormonal milieu, GDM develops:
a) early in pregnancy b) early to mid pregnancy c) the later half of pregnancy |
c) the later half of pregnancy
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Increased production of cortisol and growth hormone have what effect on insulin needs during pregnancy?
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They act as insulin antagonists and cause hyperglycemia.
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Excess insulin in the fetus acts as a growth hormone that contributes to an increase in fetal size and:
a) an increase in pulmonary surfactant b) a decrease in pulmonary surfactant c) a thickening of pulmonary surfactant d) a thinning of pulmonary surfactant |
b) a decrease in pulmonary surfactant
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Good diabetic control is reflected by a HbA1C value of:
a) 2.5-5.9% b) 5-6% c) 5-8% d) 7-9% |
a) 2.5-5.9%
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A distinctive feature of diabetic ketoacidosis during pregnancy is that:
a) it occurs at blood sugars just over 200 b) it occurs when insulin is overproduced c) it occurs when blood sugars exceed 600 d) acidosis is not typically involved |
a) it occurs at blood sugars just over 200
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What is the drug of choice for diabetic woman in preterm labor?
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Mag sulfate
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The nurse knows to specifically monitor diabetic woman taking antenatal corticosteroids for ____.
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hyperglycemia because it can precipitate DKA
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During the first trimester, TSH levels ___.
a) rise b) fall |
b) fall
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High TSH is related to
a) hypothyroidism b) hyperthyroidism c) hypoparathyroidism d) hyperparathyroidism |
b) hyperthyroidism
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True or False: Radioactive iodine is used to treat hyperthyroidism during pregnancy.
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False: The use of radioactive iodine for diagnosis or treatment of hyperthyroidism is contraindicated during pregnancy because it may adversely affect the fetal thyroid.
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Low levels of thyroid hormone can result in fetal:
a) microsomia b) macrosomia c) neurological effects d) CNS stimulation |
c) neurological effects
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Following the removal of a molar pregnancy, the nurse schedules serial hCG levels beginning at biweekly, then monthly for at least __ month.
a) 3 b) 6 c) 9 d) 12 |
d) 12
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